34D2297432 CLIA NUMBER - WAKEMED MYCARE 365 PRIMARY CARE & URGENT CARE - LOWES GROVE

Laboratory Demographics

  • CLIA Code: 34D2297432
  • Facility Name: WAKEMED MYCARE 365 PRIMARY CARE & URGENT CARE - LOWES GROVE
  • Facility Address: 2216 NC HIGHWAY 54
    DURHAM, NC
    ZIP 27713
  • Facility Phone: 919 350-7180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD NELSON GARDNER
  • NPI Number: 1982339933
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2297432
LAB Type Physician Office
Facility Name WAKEMED MYCARE 365 PRIMARY CARE & URGENT CARE - LOWES GROVE
Street 2216 NC HIGHWAY 54
City DURHAM
State NC
ZIP 27713
Phone 919 350-7180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director DONALD NELSON GARDNER

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This page was last updated on: 9/29/2025